| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.59 | $180.00 | $575.67 | |
Cigna
| Facility | $334.41 | $334.41 | $349.60 | |
Cigna
| Professional | $183.96 | $183.96 | $334.41 | |
Providence
| Facility | $130.72 | $153.04 | $349.60 | |
Providence
| Professional | $183.96 | $291.18 | $2,250,000.00 | |
United
| Professional | $215.05 | $215.05 | $215.05 |